Learning Programme Application

PROGRAMME APPLICATION_SELF EVALUATION TOOL
In terms of the ETQA bodies Regulation NR1127 Chapter 2 Education and Training Quality Assurance Bodies under the heading Accreditation section 2(1) States:
“Education and training Quality Assurance Bodies shall be accredited in each sector by the authority for the purpose of monitoring and auditing achievements in terms of national a standards or qualifications, and to which specific functions relating to the monitoring and auditing of national standards or qualifications shall be assigned in terms of section 5(1)(b)(i) of the Act “.
In accordance to the SAQA Regulations, ETQA’s must :

Accredit Providers for specific standards or qualifications
Promote quality amongst providers
Monitor provision by constituent providers
Evaluate assessments and facilitate moderation amongst providers
Register Assessors
Take responsibility for the certification of learners
Cooperate with the relevant body or bodies appointed to moderate across ETQA’s
Recommend new standards or qualifications to the National Standards Bodies for accreditation
Maintain a database acceptable to the Authority
Submit reports to the authority
Perform such other functions assigned to it by the authority

Type of Application

Extension of Scope
New Programme Application / X

PROVIDER DETAILS

Provider Name / ETQA / Accreditation Number / YYYY / MM / DD / YYYY / MM / DD
Trading As / If accredited with another ETQA /Copy of Accreditation certificate / Accreditation Status / Full / Provisional / Programme Approval
Contact Person / Programme Evaluator / Date of report
Physical Address / Postal Address
City / City
Post Code / Phone / Code / Number / Post Code / Fax / Code / Number
E- mail / Fax / Code / Number / Cell / Code / Number
PROGRAMME SPECIFICATIONS
Programme Name
Programme Type / Skills Programme / Learning programme /Unit standard / Full Qualification
Provider Type / Delivery / Assessment / Delivery and Assessment
Mode of Learning / Full Time / Distant Learning / Part Time
Duration for the applicable block marked above
Entry requirements (is there provision for RPL?)
Target Group
Purpose of the learning programme
Learning pathways and articulation
UNIT STANDARD ALIGNEMNT
Unit Standards Based Programmes (Please fill in and tick where applicable)
Title of unit standard / SAQA US ID / Credits / Notional Hours / NQF Level / Expiry Date / Fundamental / Core / Elective
Theory / Practice
hrs / 2 / 3 / 4 / 5 / YYYY / MM / DD / F / C / E
hrs / hrs
hrs / hrs / 3 / 4 / 5 / YYYY / MM / DD / F / C / E
hrs / hrs
hrs / hrs / 3 / 4 / 5 / YYYY / MM / DD / F / C / E
hrs / hrs
hrs / hrs / 3 / 4 / 5 / YYYY / MM / DD / F / C / E
hrs / hrs
SUPPORING DOCUMENTS FOR SUBMISSION (Please present all three guides per learning programme /skills programme)
A Facilitators Guide that will provide the facilitator on how the
programme will be delivered, what aids to use and what time tables
should be followed. Other areas that might be included are
introduction notes and general instructions.

Guidelines to the facilitator
Content
Formative assessments and model answers
Curriculum document
Post programme evaluation
Design of the programme
Delivery of programme
Roll out of programme
Media and venues

/ A learner guide with relevant information to cover the specific outcomes, essential embedded knowledge and cross-field outcomes. Appropriate exercises, projects, self-tests, group exercises and role-plays can be included or put in a separate workbook.

Content
Formative activities
Guidelines to learners ito learner roles and

Responsibilities

Post programme evaluation for the facilitator and

venue

Copy of SAQA US included
Workplace guide (if applicable)
Log sheet for mentors and coaches with space for signatures
Learner support
Appeals process

/ An Assessment Guide is of utmost importance. This is a guide to the assessor on
how to evaluate the learner’s competence against the specified outcomes.
Depending on the unit standard, it may be very specific or it may leave the
exact method of assessment to the discretion of the assessor.

Summative assessment for theory and practical
Checklists and model answers
Guidelines to assessors- in line with standard assessment requirements as per unit standard
Assessor evaluation on assessment including tools
Moderator evaluation on assessment
Integrated assessment matrix if applicable which can include articulations

ETD PRACTITIONER /FACILITATORS /ASSESSORS /MODERATORS
Facilitators / NAME AND SURNAME / NAME AND SURNAME / NAME AND SURNAME
Assessors / Name and Surname / Reg 617/ASS/______ / Name and Surname / Reg 617/ASS/______ / Name and Surname / Reg 617/ASS/______
If not please attach assessor application documents / If not please attach assessor application documents / If not please attach assessor application documents
Moderators / Name and Surname / Reg 617MOD/______ / Name and Surname / Reg 617/MOD/______ / Name and Surname / Reg 617/MOD/______
If not please attach moderator application documents / If not please attach moderator application documents / If not please attach moderator application documents
PROGRAMME DESIGN AND DELIVERY
Evidence requirements / Yes / No / Comments (Please indicate source e.g. page number, paragraph etc.) Where evidence can be found and verified
Learning Outcomes: Have the outcomes contained in the unit standard been translated into well-formulated objectives for each module? (verb, noun and qualifying statement)
Delivery Method: Are there sufficient activities to facilitate and enhance the learning process i.e. group/individual, self study, on-job/practical, videos, slide-shows, exercises.
Workplace Experience: Are opportunities provided for practical reinforcement within the structured work environment?
Prescribed Content: Is the prescribed content clearly defined i.e. textbooks, research and additional sources?
Training / Learning Activities: Is there sufficient variety to facilitate and enhance the learning process i.e. case studies, role-plays, observation, on-site monitoring?
Media Aids and Equipment: Is there an indication of the types of media, aids and equipment that should be used by the facilitator to enhance the learning process?
Equipment Required in the Work Place or Elsewhere: Is there an indication of the types of equipment the learner may require for on-site demonstrating or learning e.g. Point of Sale
Quality finish of Product:
Is the sequence technically correct?
Does it suit the entry level?
Is the content well structured?
Is it a workbook or textbook?
Does it allow for self-evaluation?
Is there an assessor’s guide and a learner’s workbook?
Font size and type – is it suitable?
Is the editing technically correct?
Are the pages numbered?
Are the modules easily numbered and named?
Assessment
Evidence requirements / Yes / No / Comments (Please indicate source e.g. page number, paragraph etc. ) Where evidence can be found and verified
Assessment approach:
Are assessments being conducted? (please indicate the frequency)
Do you utilise different assessment methodologies? (please list as per the strategy document)
Is the nature of evidence that will be required per task clearly indicated?
Do you utilise feedback mechanisms that will be used to enhance the delivery of learning? Which feedback mechanisms do you utilise?
Is there a final assessment results sheet?
PROGRAMME CURRICULUM AND STRATEGY
Module number / Module name / Specific outcome / Learning activities / Description of assessments / Written practical , workplace or other type of assessment / Critical cross field outcomes / Learning materials / Overall contribution to final result in percentages (weighting) / Embedded knowledge / Duration
PLEASE ENSURE THE FOLLOWING DOCUMENTS ACCOMPANY YOUR APPLICATION FORM: IF ANY DOCUMENTS ARE NOT INCLUDED THE APPLICATION WILL BE SENT BACK
Please mark
Learner guide / Yes / No
Learner Work book / Yes / No
Facilitator guide / Yes / No
Assessment guide / Yes / No
Learning programme strategy document / Yes / No
Roll out plan / Yes / No
DECLARATIONS
Applicant: I hereby declare that the above information is correct, valid and accurate, and that I no part of the programmes I have submitted has been copied, duplicated or sourced from illegal, unscrupulous or misrepresented manner. The information, design and content has been designed by ______company information
Signature of applicant:
Name of programme developer: (if outsourced)
Employer or provider: I hereby endorse this application and declare that the information is correct, valid and accurate.
Name of employer:
Date:
AUTHORISATION
Applicant’s Signature / Date of Application / YYYY / MM / DD
FREE STATE ,
First Floor ,
200 Nelson Mandela Building
Cnr Noble and Nelson Mandela St
Bloemfontein
Phone: 051 447 8443
Fax: 051 447 8629
Contact person:
Regional Manager: Emmanuel Letsie
/ GAUTENG SOUTH
Buildingnumber 18
Ground floor
Woodlands Office Park
Western Service Road
Woodmead
Phone: 011656 0085
Fax: 011 656 0194
Contact Person
QA( Acting):Wiya Mgobozi
/ EASTERN CAPE
Kingls Tourism Centre
1 Aquarium Road
Bearch Front
East London 5201
Phone: 043 722 3010
Fax: 043 722 3730
Contact person:
QA:Sihle Gogela

WESTERN CAPE
PO Box 13913
MOWBRAY
7705
Phone: 021 442 6700
Fax: 021 442 6777
Contact person:
QA: Lieza Blom
/ GAUTENG NORTH
Ground floor, Block B
1267 Pretorius Street
Hadefield Office Park
Hatfiield
Pretoria
Phone: 012430 4930
Fax: 012430 4935
Contact Person:
QA:Sipho Khoza
/ Kwazulu Natal
Office 102b
Clifton Place
19 Hurts Grove
Mustgrave
Durban
4001
Phone: 031 277 0500
Fax: 031201 0008
Contact Person:
Team leader: Lou Pillay

Limpopo
PO Box 1674
Polokwane
0700
Tel : (015) 291 2237
Fax: (015) 291 4206
Contact person:
Regional manager: Sipho Shoba
/ Mpumalanga
PO Box 17717
Emalahleni
1035
Tel: (013) 690 1214
Fax: (013) 690 1190
Contact person:
QA/Coordinator: Charles Motlhaping

FOR OFFICE USE ONLY

Please mark whether the applicant has attached the documents for evaluation purposes. If not request outstanding documents.

Learner guide
Learner Work book
Facilitator guide
Assessment guide
Learning programme strategy document
Roll out plan
Workplace Guide/ Logbook